What is the first treatment tried for twin and multiple pregnancy?

Carrying more than one baby can require appointments and ultrasound checks tailored to the number of babies and whether they share a placenta. A growth scan assesses each baby’s size, fluid around the babies, and blood flow when needed. The results help the maternity team identify differences in growth and plan suitable follow-up.

Monitoring is not a sign that a problem is certain to occur. Delivery planning considers the babies’ positions, growth, placental arrangement, your health, and how the pregnancy is progressing. Vaginal birth may be possible in some situations; a caesarean section may be recommended in others.

Attend the scheduled antenatal appointments and ask when the next scan is due. Keep a record of questions about movements, medicines, work, nutrition, and the planned place of birth. Learn more about [Growth Scan](/treatments/pregnancy-and-birth-care/growth-scan/) and [Caesarean Section](/treatments/pregnancy-and-birth-care/caesarean-section/) so you can discuss how they may apply to you.

Follow the specific advice from your maternity team about blood pressure checks, fetal movements, and when to contact the unit. Do not change prescribed medicines without discussing it with them.

Contact your maternity unit promptly for vaginal bleeding, leaking fluid, regular painful contractions, severe headache, vision changes, sudden swelling, severe abdominal pain, or noticeably reduced movement from one or more babies. Urgent assessment can check you and the babies and guide the next step.

How often will I need growth scans? Do the babies share a placenta? What symptoms should prompt an immediate call? Which birth options are suitable based on their positions and growth?